NPI 1104091701

The Excel Group

Organisation Mental Illness Intermediate Care Facility Yuma, AZ

Practice location

Address: 106 E 1st St, Yuma, AZ 85364-1450
Phone: (928) 341-0409
Fax: (928) 329-8950
Mailing address: 106 East First Street, Yuma, AZ 85364-1450

Authorised official

Name: Denise Ann Rouba
Title: Pmhnp/Pnp
Phone: (928) 341-0409

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence F401029-1 (NY)

Other Intermediate Care Facility, Mental Illness providers in Arizona →

Registry record

NPI: 1104091701
Entity type: Organization
NPI issued: 24 Apr 2008
Record last updated: 24 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.